This study tested the hypothesis that ancillary expenditures can be decreased without compromising care.

Methods

Costs for laboratory tests, radiographs, blood products, nutritional supplements, and drugs were compared prospectively for all surgical intensive care unit care for two 4-month periods (January 1 to April 30,1994 and January 1 to April 30,1995) at a urban university center.

A systematic, multidisciplinary cost-reduction program began May 1,1994, with emphasis on laboratory and radiographic testing and procedures, and blood product, nutritional, and drug therapies.